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Mental Health
Module I MH
227
Nursing
Undergraduate 2
01/16/2013

Additional Nursing Flashcards

 


 

Cards

Term
Axis I
Definition
All major psychiatric disorders except mental retardation and personality disorders
Term
Axis II
Definition
Mental retardation, personality disorders, maladaptive personality features, and defense mechanisms
Term
Axis III
Definition
Current medical conditions
Term
Axis IV
Definition
Psychosocial and environmental problems, including problems with primary support group, social environment, education, occupation, housing, economics, access to health care and legal issues
Term
Axis V
Definition
Global assessment of functioning (GAF)
Term
Indicators of Mental Health?
Definition
Happiness, Control over one's behavior, appraisal of reality, effectiveness at work, and a healthy self-concept
Term
Definitions of mental health?
Definition
WHO:  State of complete physical, mental, and social wellness, not merely absence of disease or infirmity.  A state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior, and comping, a positive self concept, and emotional stability.  Autonomy and independence; maximizing one's potential, tolerating life's uncertainties, self esteem, mastering the environment, reality orientation, and stress management.  It is influenced by individual factors; interpersonal factors, and social/cultural factors.
Term
Some contributing factors to mental illness?
Definition

Individual

Interpersonal

Social/Cultural

Term
What is the Id?
Definition
In psychoanalytic theory, the part of one's nature that reflects basic or innate desires such as pleasure seeking behavior, aggression, and sexual impulses?
Term
What is behavioral modification?
Definition
Method of attempting to strengthen a desired response by reinforcement, either positive or negative
Term
What is the subconscious?
Definition
Thoughts or feelings in the preconscious or unconscious level of awareness
Term
What is the ego?
Definition
In psychoanalytic theory, the balancing or mediating force between the id and the superego; represents mature and adaptive behavior that allows a person to function successfully in the world.
Term
What is transference?
Definition
Occurs when the client displaces onto the therapist attitudes and feelings that the client originally experienced in other relationships.
Term
Who is Sigmund Freud?
Definition
Theorist who is named the father of psychoanalysis and believed that repressed sexual impulses and desires motivate much human behavior.
Term
Who is Erik Erikson?
Definition
Theorist who extended Freud's work on personality development and created eight psychosocial stages of development.  In his view, psychosocial growth occurs in sequential phases, and each stage is dependent on completion of the previous stage and life task.
Term
Who is Hildegard Peplau?
Definition
Interpersonal nursing theorist and clinician who developed the phases of the nurse-Patient relationship, and the four levels of anxiety.
Term
Who is Abraham Maslow?
Definition
Theorist who formulated the hierarchy of needs, in which he used a pyramid to arrange and illustrate the basic drives or needs that motivate people.
Term
Who is B. F. Skinner?
Definition
Influential behavior theorist who developed the theory of operant conditioning, which he says people learn their behavior from their history of past experiences, particularly those experiences that were repeatedly reinforced.
Term
What is denial?
Definition

Failure to acknowledge an unbearable condition; failure to admit the reality of a situation or how one enables the problem to continue.  

Ex:  "I don't have a problem with authority, I just don't like people telling me what to do"

Term
What is conversion?
Definition

Expression of an emotional conflict through the development of a physical symptom, usually sensorimotor in nature. 

Ex: blindness, paralysis

Term
What is repression?
Definition

Excluding emotionally painful or anxiety provoking thoughts and feelings from conscious awareness. 

Ex:  "I don't remember anything about my assault"

Term
What is undoing?
Definition

Exhibiting acceptable behavior to make up or negate unacceptable behavior. 

Ex:  Child who does the dishes for his mother after staying out past his curfew

Term
What is suppression?
Definition

Conscious exclusion of unacceptable thoughts and feeling from conscious awareness?

Ex:  "I'm not going to think about my son's speeding ticket today it will just distract me."

Term
What if family therapy?
Definition
Form of group therapy in which the client and his or her family members participate.
Term
What are education groups?
Definition
Groups that provide information to members on a specific issue for instance, stress management, medication management, or assertiveness training.
Term
What are support groups?
Definition
Members who share a common problem learn to cope with it
Term
What are Psychotherapy groups?
Definition
Members learn about their behavior and to make positive changes in their behavior by interacting and communicating with others as a member of a group
Term
What are self-help groups?
Definition
Members share a common experience, but the group is not a formal or structured group, these do not have a formal identified leader.
Term
What is the superego?
Definition
Part of a person's nature that reflects moral and ethical concepts, values, and parental and social expectations; therefore it is the direct opposite of the Id.
Term
What is an open group?
Definition
On going group that runs indefinitely; members join or leave the group as they need to.
Term
What is milieu therapy?
Definition
Concept involving client's interactions with one another; i.e. practicing interpersonal relationship skills, giving one another feedback about behavior, and working cooperatively as a group to solve day to day problems.
Term
What is a closed group?
Definition
Structured to keep the same members in the group for a specified number of sessions?
Term
What is countertransference?
Definition
Occurs when the therapist displaces onto the client attitudes or feelings from his or her past; process can occur when the nurse responds to the client based on personal, unconscious needs and conflicts.
Term
What are anticholinergic side effects?
Definition
Side effects such as dry mouth, constipation, urinary hesitancy or retention, dry nasal passages, and blurred near vision
Term
What is akathisia?
Definition
Intense need to move about; characterized by restless movement, pacing, inability to remain still, and the client's report of inner restlessness
Term
What is dystonia?
Definition
Acute muscular rigidity and cramping, a stiff or thick tongue with difficulty swallowing, and in severe cases, laryngospasm, and respiratory difficulties.
Term
What are stimulant drugs?
Definition

Amphetamines and other like drugs used to treat ADHD and narcolepsy

Ex:  Cylert, Adderall, and Ritalin

Term
What are anxiolytics?
Definition
Another name for Antianxiety drugs, used to treat anxiety, anxiety disorders, insomnia, OCD, depression, PTSD, and alcohol withdrawal.
Term
What are benzodiazepines?
Definition

Subgroup of drugs that treat panic disorder, or generalized anxiety disorder that commonly cause psychological dependence.

Ex:  Alprazolam (Xanax), Lorazepam (Ativan), Diazepam (Valium), Temazepam (Restoril)

Term
What are other antidepressants compounds (SRNIs)?
Definition
Cenlafaxine (Effexor), Bupropion (Wellbutrin), Nefazodone (Serzone) are used for those clients who are potentially suicidal or highly impulsive because they carry on risk of lethal overdose.
Term
What are MAOIs?
Definition
Drugs that have reaction with aged cheese that is used in lasagna and pizza, pepperoni, salami, summer sausage, avocado, tap beer, sauerkraut, soy sauce, yogurt, and peanuts.
Term
What are examples of typical or conventional antipsychotics?
Definition
Chlorpromazine (Thorazine), Thioridazine (Mellaril), Thiothixene (Navane), Fluphenazine (Prolixin) and Haloperidol (Haldol)
Term
What is Clozpine?
Definition
Because of a potentially fatal side effect of agranulocytosis clients must have weekly WBC's to obtain the next weeks supply of medication.
Term
What is norepinephrine?
Definition
Most prevalent neurotransmitter in the nervous system, located in the brain stem.  Excess of this has been implicated in several anxiety disorders and deficits contribute to memory loss, social withdrawal and depression.
Term
What is the frontal lobe?
Definition
Abnormalities in this lobe of the brain are associated with ADHD, schizophrenia, and dementia
Term
What is the limbic system?
Definition
Disturbances in this part of the brain have been implicated in a variety of mental illnesses, such as the memory loss that accompanies dementia and the poorly controlled emotions and impulses seen with psychotic or manic behavior.
Term
What is dopamine?
Definition
Located primarily in the brain stem this has been found to be involved in the control of complex movements, cognition, and regulation of emotional responses.  Antipsychotic medications work by blocking its activity.
Term
What is serotonin?
Definition
Found only in the brain, its function is mostly inhibitory, and is involved in the control of food intake, sleep and wakefulness, sexual behavior, and regulations of emotions.
Term
What are TCA's?
Definition
Group of antidepressants that are potentially lethal if taken in overdose?
Term
What is serotonin syndrome?
Definition
Potentially serious drug interaction resulting from taking an MAOI and a SSRI at the same time or too close to the end of therapy with the other
Term
What is hypertensive crisis?
Definition
Life threatening side effect occurring if the client ingests foods containing tyramine while taking MAOI's
Term
What is lithium toxicity?
Definition
Occurs when the level of drug gets above the therapeutic range and causes symptoms like muscle weakness, severe diarrhea and vomiting and drowsiness.
Term
What is neuroleptic malignant syndrome?
Definition
Potentially fatal idiosyncratic reaction to an antipsychotic drug resulting in rigidity, high fever; unstable BP, diaphoresis, pallor and delirium.
Term
What is partial hospitalization?
Definition
Program designed to help clients make a gradual transition from being inpatients to living independently and to prevent repeat admissions.
Term
What is the clubhouse model?
Definition
A type of psychiatric rehabilitation, the focus of this community based program is on health, not illness.  Provides a place to meet for support and fellowship.
Term
What is an interdisciplinary team?
Definition
An approach useful in dealing with the multifaceted problems of clients with mental illness, where different members have expertise in specific areas collaborate to meet clients needs more effectively.
Term
What are residential settings?
Definition
Settings in the community that vary in structure, level of supervision and service where persons with mental illness can live.
Term
What is Assertive Community Treatment?
Definition
Community program with a problem solving approach that provides services directly to the client.  These include specific life issues in the form of skills training, support and teaching.  Staff members provide these services in the clients residence.
Term
What method did Freud use (talk therapy)?
Definition
The cathartic method.  Today we refer to catharsis as "getting things off our chests."
Term
What is "free association?"
Definition
It is included in talk therapy and it requires full and honest disclosure of thoughts and feelings as they come to mind.
Term
What are the three levels of awareness?
Definition
Conscious, preconscious, and unconscious
Term
What is conscious awareness?
Definition
It contains all the material a person is aware of at any one time, including perceptions, memories, thoughts, fantasies, and feelings.
Term
Whatis preconscious awareness?
Definition
It contains material that can be tetrieved rather easily through conscious effort
Term
What is unconscious awareness?
Definition
It includes all repressed memories, passions, and unacceptable urges lying deep below the surface.  It is believed that the memories and emotions associated with trauma are often "placed" in the unconscious.  The individual is usually unable to retrieve unconscious material without the assistance of a trained therapist; however, with this assistance, inconscious material can be brought into conscious awareness.
Term
What is Freuds personality structure?
Definition
Freud delineated three major and distinct but interactive systems of the personality; the id, the ego, and the superego.
Term
What is the id?
Definition
  • The source of all drives, instincts, reflexes, needs, genetic inheritance, and capacity to respond, as well as all the wishes that motivate us. 
  • Cannot tolerate frustration and seeks to discharge tension and return to a more comfortable level of energy.  
  • Lacks the ability to problem solce; it is not logical and operates according to the pleasure priniciple. 
Term
What is the ego?
Definition
  • Develops because the needs, wishes, and demands of the id cannot be satisfactorliy met through primary processes and reflex actions. 
  • Emerges in the fourt or fifth month of life and is the problem solver and reality tester.
  • Differentiates subjective experiences, memory images, and objective reality and attempts to negoriate a solution with the outside worlds. 
Term
What is reality testing?
Definition

When the individual is factoring in reality to implement a plan to decrease tension.

Ex: A hungry man feels tension arising from the id.  His ego allows him not only to think about his hunger but to plan where he can eat and to seek that destination. 

Term
What is the superego?
Definition
  • Represents the moral component of personality. 
  • Consists of the conscience (should not's) and the ego ideal (should's).
  • Represents the idal rather than the real; it seeks perfection, as opposed to seeking pleasure or engaging reason.
Term
What happens when the id is too powerful?
Definition
The person will lack ccontrol over impulses
Term
What happens if the superego is too powerful?
Definition
The person may be self critical and suffer from feelings of inferiority
Term
What are the two things that defense mechanisms share?
Definition
  1. They all (except suppression) operate on an unconscious level, and we are not aware of their operation
  2. They deny, falsify, or distort reality to make it less threatening
Term
Who is known as the pather of psychoanalysis?
Definition
Freud
Term
What is acceptance?
Definition
Avoiding judgments of the person, no matter what the behavior
Term
What are attitudes?
Definition
General feelings or a frame of reference around which a person organizes knowledge about the world.
Ex: hopeful, optimistic, positive, negative
Term
What are beliefs?
Definition
Ideas that one holds to be true
Ex: all old people are hard of hearing
Term
What is empathy?
Definition
Ability of the nurse to perceive the meanings and feelings of another person and communicate that understanding to that person. (putting yourself in another's shoes)
Term
What is genuine interest?
Definition
Truly paying attention to the client, caring about what he or she is saying; only possible when the nurse is comfortable with him/herself and aware of his/her strengths and limitations.
Term
What is accepting?
(Communication technique)
Definition
Communication technique that indicates that the nurse has heard and followed the train of thought.
Ex: "Yes" or "I followed what you said"
Term
What is exploring?
(Communication technique)
Definition
Technique used to help examine an issue more fully
Ex: "Tell me more about that."
Term
What are general leads?
Definition
Technique indicates that the nurse is listening and following what the client is saying without taking away the initiative for the interaction.
Ex: "And then?"
Term
What is making observations?
Definition
Technique used when clients are unable to verbalize or make themselves understood.
Ex: "you appear tense"
Term
What is restating?
Definition
Technique which repeats what the client has said in approximately or nearly the same words that the client used. This restatement lets the client know that he or she communicated the idea effectively.
Term
What is advising?
Definition
Technique that implies that only the nurse knows what is best for the client.
Ex: "I think you should" or "Why don't you"
Term
What is challenging?
Definition
Applying the belief that the nurse can prove unrealistic ideas.
Ex: "If your dead, why is your heart beating?"
Term
What is reassuring?
Definition
Attempting to dispel the client's anxiety by implying that there is not sufficient reason for concern, which completely devalues the client's feelings.
Ex: "Everything will be ok" or "I wouldn't worry about that"
Term
What is giving approval?
Definition
Sating that what the client thinks or feels is "good" implies that the opposite is "bad."
Ex: "I'm glad that you were able to get dressed this morning."
Term
What is making stereotyped comments?
Definition
Social conversation contains many cliches and much meaningless chitchat. Such comments are of no value in the nurse-client relationship.
Ex: "Just have a positive attitude and you'll be better in no time."
Term
What is trust?
Definition
Component of a nurse-patient relationship that builds when the client is confident in the nurse and when the nurse's presence conveys integrity and reliability.
Term
What is congruence?
Definition
When words and actions match
Term
What is positive regard?
Definition
Shows unconditional, non judgmental attitude that implies respect for the person.
Term
What is self-disclosure?
Definition
Revealing personal information such as biological information and personal ideas, thoughts, and feelings about oneself to clients. Helps the client feel more comfortable and gain insight.
Term
What is therapeutic use of self?
Definition
Nurse uses themselves as a tool to establish the therapeutic relationship with clients and to help the clients grow, change, and heal
Term
What is active listening?
Definition
Concentrating exclusively on what the client says, refraining from other internal mental activities.
Term
What is body language?
Definition
Nonverbal form of communication: gestures, postures, movements, and body position.
Term
What is communication?
Definition
Process that people use to exchange information.
Term
What is process?
Definition
All nonverbal messages that the speaker uses to give meaning and contest to the message.
Term
What are concrete messages?
Definition
Words that are as clear as possible when speaking to the client so that the client can understand the message; these are important for accurate information exchange.
Term
What is mood?
Definition
This term refers to the clients pervasive and enduring emotional state.
Term
What is affect?
Definition
This term refers to the outward expression of the clients emotional state
Term
What is blunted affect?
Definition
This affect shows little or a slow to respond facial expression.
Term
What is inappropriate affect?
Definition
This affect displays a facial expression that is incongruent with mood or situation
Term
What is flat affect?
Definition
This term refers to showing no facial expression
Term
What is disheveled?
Definition
This term refers to being untidy or unkempt; messy.
Term
What are automatisms?
Definition
This term refers to repeated purposeless behaviors that are often indicative of anxiety.
Term
What is psychomotor retardation?
Definition
This term refers to overall slowed movements
Term
What is waxy flexibility?
Definition
This is maintenance of posture or position over time even when it is awkward and uncomfortable.
Term
What are neologisms?
Definition
These are invented words that have meaning only for the client
Term
What is orientation?
Definition
This refers to the clients recognition of person, place, and time.
Term
What is abstract thinking?
Definition
This term refers to making associations or interpretations about a situation or comment.
Term
What is concrete thinking?
Definition
This term is used when a client continually gives literal translations to proverbs.
Term
What is memory?
Definition
This assessment of sensorium and intellectual processes has two arts: recent and remote.
Term
What is a proverb?
Definition
A short, traditional saying that expresses some obvious truth or familiar experience; adage.
Term
What is thought process?
Definition
This term refers to how the client thinks.
Term
What is thought content?
Definition
This term refers to what the client says?
Term
What is circumstantial thinking?
Definition
This term refers to a thinking process that a client eventually answers a question but only after giving excessive unnecessary detail.
Term
What is thought broadcasting?
Definition
This thought process is a delusional belief that others can hear or know what the client is thinking.
Term
What is word salad?
Definition
This term refers to a flow of unconnected words that convey no meaning to the listener.
Term
What are hallucinations?
Definition
These are false sensory perceptions or perceptual experiences that do not really exist
Term
What is self concept?
Definition
This term refers to the way one views oneself in terms of personal worth and dignity
Term
What is insight?
Definition
This refers to the ability to understand the true nature of ones situation and accept some personal responsibility for that situation.
Term
What is flight of ideas?
Definition
This thought process uses an excessive amount and rate of speech composed of fragmented or unrelated ideas.
Term
What is tangential thinking?
Definition
This thought process involves wondering off the topic and never providing the information requested.
Term
What is autonomy?
Definition
This is a person's right to self determination and independence.
Term
What is Justice?
Definition
This refers to fairness; that is, treating all people fairly and equally without regard for social or economic status, race, sex, marital status, religion, ethnicity, or cultural beliefs.
Term
What is Fidelity?
Definition
This refers to the obligation to honor commitments and contracts.
Term
What is assault?
Definition
This involves any action that causes a person to fear being touched in a way that is offensive, insulting, or physically injurious without consent or authority.
Term
What is battery?
Definition
This involves harmful or unwarranted contact with a client; actual harm may or may not have occurred.
Term
What is least restrictive environment?
Definition
This term is used to desribe treatment appropriate to meet the client's needs with only necessary or required restrictions.
Term
What is restraint?
Definition
This is the direct application of physical force to a person, without his or her permission, to restrict his or her freedom of movements.
Term
What is a human restraint?
Definition
This type of restraint is when staff members physically control the client and move him or her to a seclusion room.
Term
What is mechanical restraint?
Definition
This type of restraint uses devices, usually ankle and wrist restraints, fastened to a bed frame to curtain the clients physical aggression.
Term
What is seclusion?
Definition
This is the involuntary confinement of a person in a specially constructed, locked room equipped with a security window or camera for direct visual monitoring.
Term
What is malpractice?
Definition
This is a type of negligence that refers specifically to professionals such as nurses and physicians.
Term
What is duty?
Definition
This is a term used to define that a legally recognized relationship existed.
Term
What is breach of duty?
Definition
This is a term used to state that the nurse (or physician) failed to conform to standards of care, thereby breaching or failing the existing duty
Term
What is injury or damage?
Definition
This term is used when a client has suffered some type of loss, damage, or injury.
Term
What is causation?
Definition
This term states that the breach of duty was the direct cause of the loss, damage, or injury.
Term
What is utilitarianism?
Definition
This theory bases decisions on "the greatest good for the greatest number."
Term
What is deontology?
Definition
This theory says decisions should be based on whether or not an action is morally right with no regard for the result or consequence.
Term
What is beneficence?
Definition
This refers to one's duty to benefit or to promote good for others.
Term
What is nonmaleficence?
Definition
This is the requirement to do no harm to others either intentionally or unintentionally.
Term
What is veracity?
Definition
This is the duty to be hones or truthful.
Term
What is duty to warn?
Definition
This is the exception to the client's right to confidentiality; when health care providers are legally obligated to warn another person who is the target of the threats or plan by the client, even if the threats were discussed during therapy sessions that are otherwise protected by confidentiality.
Term
What is false imprisonment?
Definition
This is defined as the unjustifiable detention of a client
Term
What is ethical dilemma?
Definition
This is a situation in which ethical principles conflict or when there is no one clear course of action in a given situation
Term
What is a tort?
Definition
This is a wrongful act that results in injury, loss, or damage.
Term
What is mandatory outpatient treatment (MOT)?
Definition
This is the requirement that clients continue to participate in treatment on an involuntary basis after their release from the hospital into the community.
Term
What is socioeconomic status?
Definition
This refers to one's income, education, and occupation.
Term
What is value?
Definition
This term refers to feeling needed and accepted.
Term
What is ethnicity?
Definition
This is the concept of people identifying with one another based on shared heritage.
Term
What is race?
Definition
This is a division of mankind possessing traits that are transmitted by descent and sufficient to identify it as a distinct human type.
Term
What is biopsychosocial being?
Definition
This being possesses unique characteristics and responds to others and the world in various and diverse ways.
Term
What is trust vs. mistrust?
Definition
This stage of development views the world as safe and reliable. Views relationships as nurturing, stable, and dependable.
Term
What is autonomy vs. shame and doubt?
Definition
This psychosocial development stage includes achieving a sense of control and free will.
Term
What is industry vs. inferiority?
Definition
This developmental stage builds confidence in own abilities and taking pleasure in accomplishments.
Term
What is generativity vs. stagnation.
Definition
This developmental stage establishes the next generation.
Term
What is ego integrity vs. despair.
Definition
This developmental stage requires accepting responsibility for ones self and life.
Term
What is self-efficacy?
Definition
This is a belief that personal abilities and efforts affect the events in our lives.
Term
What is hardiness?
Definition
This is the ability to resist illness when under stress.
Term
What is resilience?
Definition
This is defined as having healthy responses to stressful circumstances or risky situation.
Term
What is resourcefulness?
Definition
This involves using problem solving abilities and believing that one can cope with adverse or novel situations.
Term
What is spirituality?
Definition
This involves the essence of a persons being and his or her beliefs about the meaning of life and the purpose for living
Term
What is a sense of belonging?
Definition
This is the feeling of connectedness with or involvement in a social system or environment of which a person feels an integral part.
Term
What is social networks?
Definition
These are groups of people whom one knows and with whom one feels connected
Term
What is culturally competent nursing care?
Definition
This type of nursing care means being sensitive to issues related to culture, race, gender, sexual orientation, social class, economic situation, and other factors.
Term
What is personalistic?
Definition
This belief attributes the cause of illness to the active, purposeful intervention of an outside agent, spirit, or supernatural force or deity.
Term
What is naturalistic view?
Definition
This view is rooted in a belief that natural conditions or forces, such as cold, heat, wind, or dampness are responsible for the illness.
Term
What is social organization?
Definition
This term refers to family structure and organization, religious values and beliefs, ethnicity, and culture, all of which affect a person's role and, therefore his or her health and illness.
Term
What is time orientation?
Definition
Whether or not one views time as a precise or approximate; differs among cultures.
Term
What is environmental control?
Definition
This refers to a clients ability to control the surroundings or direct factors in the environment.
Term
What is culture?
Definition
This term describes all the socially learned behaviors, values, beliefs, customs, and ways of thinking of a population that guide its members views of themselves and the world.
Term
What is cultural diversity?
Definition
This refers to the cast array of differences that exist among populations.
Term
What is mental health?
Definition
A state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self concept, and emotional stability.
Term
What is mental illness?
Definition
Significant, behavioral or psychological syndrome or pattern occurring in a person and associated with a painful symptom, impairment of functioning, risk of death, pain, disability, or important loss of freedom.
Term
What is deinstitutionalization?
Definition
Deliberate shift from institutional care in state hospitals to community facilities.
Term
What are psychotropic drugs
Definition
Chlorpromazine (Thorazine), Lithium, MAOI's, antidepressants, tricyclic antidepressants, and benzodiazepines are used to treat mental illness.
Term
What is self awareness?
Definition
Process of a nurse gaining recognition of his or her own feelings, beliefs, and attitudes.
Term
What is axis III?
Definition
Reports current medical conditions that are potentially relevant to understanding or managing the person's mental disorder as well as medical conditions that help to understand the person.
Term
What is axis II?
Definition
Identifies all major psychiatric disorders except mental retardation and personality disorders.
Term
What is axis V?
Definition
Rates the person's overall psychological functioning on a scale of 0-100.
Term
What is axis II?
Definition
Describes prominent maladaptive personality features and defense mechanisms.
Term
What are the three purposes of the DSM-IV-TR?
Definition
Provide a standardized language for all mental health professionals.
Present defining characteristics or symptoms that separate specific diagnoses.
Assist in identifying the underlying causes of disorders.
Term
What is the revolving door effect?
Definition
People with severe and persistent mental illness have shorter hospital stays, but are admitted to hospitals more frequently.
Term
What are standards of care?
Definition
Developed by professional organizations to describe the responsibilities for which nurses are accountable.
Term
What is the psychiatric mental health nursing phenomena of concern?
Definition
Twelve areas of concern that mental health nurses focus on when caring for clients.
Term
What is case management?
Definition
Management of care on a case by case basis which represented an effort to provide necessary services while containing cost.
Term
What is healthy people 2010?
Definition
Objectives for mental health that were developed to improve identification, diagnosis and treatment of people in addition to providing more services for juveniles and adults who are incarcerated and have mental health problems.
Term
What is managed care?
Definition
Concept designed to purposely control the balance between the quality of care provided and the cost of that care.
Term
What is self care?
Definition
The nurse allows the person to do their own care without medical or other professional consultation.
Term
What is cultural diversity?
Definition
Differences among groups of people occurring due to ancestry and location of original residence.
Term
What is the health illness continuum?
Definition
The imaginary line of which we are all on, none of us in the same place, in relation to our wellness or lack of wellness.
Term
What is homeostasis?
Definition
State of dynamic equilibrium of the internal environment of the body that is being consistently regulated in response to internal and external changes.
Term
What disease is associated with a decrease in Dopamine?
Definition
Parkinson's disease
Depression
Term
What disease is associated with a increase in Dopamine?
Definition
Schizophrenia
Mania
Term
What disease is associated with a decrease in Norepinephrine?
Definition
Depression
Term
What disease is associated with an increase in norepinephrine?
Definition
Mania
Anxiety states
Schizophrenia
Term
What disease is associated with a decrease in Serotonin?
Definition
Depression
Term
What disease is associated with an increase in Serotonin?
Definition
Anxiety states
Term
What disease is associated with a decrease in histamine?
Definition
Sedation
Weight gain
Term
What disease is associated with a decrease in Gamma-aminobutyric acid (GABA)?
Definition
Anxiety disorders
Schizophrenia
Mania
Huntington's disease
Term
What disease is associated with an increase in Gamma-aminobutyric acid (GABA)?
Definition
Reduction of anxiety
Term
What disease is associated with a decrease in glutamate?
Definition
Psychosis
Term
What disease is associated with an increase in Glutamate?
Definition
Prolonged increased state can be neurotoxic (NMDA)
Neurodegeneration in Alzheimer's disease (NMDA)
Improvement of cognitive performance in behavioral tasks (AMPA)
Term
What disease is associated with a decrease in Acetylcholine?
Definition
Alzheimer's disease
Huntington's disease
Parkinson's disease
Term
What disease is associated with an increase in Acetylcholine?
Definition
Depression
Term
What role does substance P play in mental health?
Definition
Involved in regulation of mood and anxiety
Role in pain management
Term
What disease is associated with a decrease in Somatostatin?
Definition
Alzheimer's disease
Decreased levels of SRIF in spinal fluid of some depressed patients
Term
What disease is associated with an increase in Somatostatin?
Definition
Huntington's disease
Term
What role does Neurotensin play in mental health?
Definition
Decreased levels in spinal fluid of schizophrenic patients
Term
Hardiness
Definition
a cluster of attitudes and behaviors that allow people to maintain health and well-being in situations of stress. These include attitudes of commitment, control and challenge; coping habits; and the creation of social support networks.
Term
Resilience
Definition
The ability to adapt and cope which helps people to face tragedies, loss, trauma, and severe stress
Term
Spirituality
Definition
The devotion or receptiveness to religios or moral values. Spirituality includes a search for meaning and purpose; a relationship with a higher being; and adherence to transcendent values such as hope, love, forgiveness. It is frequently experienced through a formal faith tradition.
Term
Infancy
Erikson's stage
Definition
Trust vs. Mistrust
0-1 1/2 years
Term
Early Childhood
Erikson's stage
Definition
Autonomy vs. Shame and Doubt
1 1/2-3 years
Term
Late Childhood
Erikson's stage
Definition
Initiative vs. Guilt
3-6 years
Term
School age
Erikson's stage
Definition
Industry vs. Inferiority
6-12 years
Term
Adolescence
Erikson's stage
Definition
Identity vs. Role Confusion
12-20 years
Term
Early Adulthood
Erikson's stage
Definition
Intimacy vs. Isolation
20-35 years
Term
Middle Adulthood
Erikson's stage
Definition
Generativity vs. Self-absorption
35-65 years
Term
Later years
Erikson's stage
Definition
Integrity vs. Despair
65 years-Death
Term
What is first (bottom) in Maslow's hierarchy of needs?
Definition
Physiological needs- food, water, oxygen, elimination, rest, and sex
Term
What is second in Maslow's hierarchy of needs?
Definition
Safety needs- security, protection, stability, structure, order, and limits
Term
What is third in Maslow's hierarchy of needs?
Definition
Love and belonging needs- affiliation, affectionate relationships, and love
Term
What is fourth in Maslow's hierarchy of needs?
Definition
Esteem- Self-esteem related to competency, achievement, and esteem from others
Term
What is fifth in Maslow's hierarchy of needs?
Definition
Self-actualization- becoming everything one is capable of
Term
What is sixth (top) in Maslow's hierarchy of needs?
Definition
Self-transcendence
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